Tendonitis/tendonopothy

Question 1

Define tendinopothy

Answer 1

A clinical syndrome characterized by pain, diffuse or localized swelling and impaired function, may occur with overuse of a tendon.

Question 2

Define tendonitis

Answer 2

Inflammation of a tendon

Question 3

Define paratendonitis

Answer 3

Inflammation of the paratendon or tendon sheath

Question 4

Define tendinosis

Answer 4

Non inflammatory degenerative changes in a tendon

Question 5

Compare the differences between tendinosis, tendinitis, paratenonitis and paratenonitis with tendinosis

Answer 5

Tendinosis: intratendinouse degeneration ( from aging or micro trauma)
Tendinitis: symptomatic degeneration of the tendon with vascular disruption and inflammatory repair response
Paratenonitis: inflammation of the outer layer
Paratenonitis WITH tendinosis: associated with intratendinous degeneration

Question 6

What are the 4 classifications of severity?

Answer 6

1.) pain after use only
2.) pain at the beginning, not during, pain after
3.) pain at the beginning, during and after
4.) pain wth ADLs-pain gets worse

Question 7

What are some questions you may ask if you suspect tendonitis?

Answer 7

1.) when did it start?
2.) what makes it worse?
3.) where is the location?
4.)do you do repetetive activities? Do you wear a brace? Does it help?
5.) have you done any new activities?
6.) any medications?

Question 8

What are some possible test findings in regards to tendinopothy?

Answer 8

Arom: affected extremity usually painless
Prom: will have pain when affected tendon is fully stretched
rmmt: local pain on contraction, especially if muscle is in a stretched position
Referred pain: from local trigger points

Question 9

What special tests might you do if you suspect tendinopothy?

Answer 9

Finklesteins
Empt can
Differentiation

Question 10

What hydrotherapy may you use when tx tendinopothy?

Answer 10

Ice ( to decrease inflammation)
Contrast ( to increase tissue health)
Heat ( once inflammation is gone to increase pliability)